Expert Consensus: Lifestyle Medicine in Primary Care 

View looking down on five physicians with hands reaching into center of a circle symbolizing consensus

The American College of Lifestyle Medicine (ACLM) has taken a significant step forward by publishing an expert consensus statement (ECS) titled “Lifestyle Medicine for Optimal Outcomes in Primary Care” in The American Journal of Lifestyle Medicine.

This influential statement defines best practices for the integration of lifestyle medicine into primary care settings, offering a roadmap for physicians to follow in their pursuit of improving patient health and well-being.

In this article, we will delve into the importance of this consensus statement and highlight examples of statements that reached consensus among the expert panel, demonstrating the practical implementation of lifestyle medicine in primary care.

The Significance of the Expert Consensus Statement

This ECS is a significant advancement in healthcare. Its primary objective is to raise awareness among clinicians about the remarkable benefits of lifestyle medicine in primary care settings. Furthermore, it systematically synthesizes expert perspectives to help healthcare professionals integrate lifestyle medicine into their practice, ultimately leading to optimal patient outcomes.

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Examples of Statements that Reached Consensus

The consensus statement is a product of collaboration among experts from diverse backgrounds, including physicians, nurse practitioners, physician assistants, clinical psychologists, and other health professionals practicing lifestyle medicine. Their shared goal was to identify best practices for integrating lifestyle medicine into primary care. Here are some examples of statements that achieved consensus:

“Optimal lifestyle medicine services in primary care are best delivered through a multi-disciplinary team approach utilizing a qualified clinician lead and qualified supporting health professionals.”

“Integrating lifestyle medicine into primary care can reduce clinician burnout while increasing professional satisfaction and fulfillment.”

“Effective deprescribing of medications is an essential part of safe and effective lifestyle intervention treatment.”

“Lifestyle medicine is an essential component of primary care in patients of all ages.”

“Lifestyle medicine is intended to complement, not replace, conventional medical approaches such as pharmaceutical treatment, if those treatments are necessary for the patient to achieve optimal metabolic outcomes.”

These statements, among others, provide guidance for physicians and healthcare professionals on how to incorporate lifestyle medicine principles into their primary care practice. They emphasize the importance of a multidisciplinary approach, ongoing education, evidence-based interventions, and collaboration with patients to achieve the best possible health outcomes.

Meagan Grega, MD, DipABLM, FACLM, chair of the expert panel, emphasized the significance of the work, saying “This panel of experts from diverse backgrounds agreed on many key aspects of lifestyle medicine that can be incorporated into the primary care setting to achieve improved quality and outcomes, while also identifying benefits such as decreased health-related costs and enhanced patient and clinician satisfaction.”

Why It Matters for Primary Care Clinicians

The consensus statement’s implications for primary care clinicians are profound. The primary care team members are often the first point of contact for patients, and they play a pivotal role in disease prevention and management.

Improved Patient Outcomes

By embracing lifestyle medicine, physicians and members of the primary care team can meaningfully improve patient outcomes and enhance their quality of life. This approach addresses the root causes of chronic diseases, leading to better long-term results.

Reducing the Burden of Chronic Disease

Chronic diseases such as type 2 diabetes, heart disease and obesity are strongly influenced by lifestyle choices. Lifestyle medicine offers a proactive approach to reduce the burden of these conditions.

Professional Fulfillment

Implementing lifestyle medicine can reduce burnout and increase professional satisfaction. It empowers physicians to engage in more meaningful patient interactions and witness positive, sustainable changes in their patients’ health.

Conclusion

The ACLM’s expert consensus statement “Lifestyle Medicine for Optimal Outcomes in Primary Care” is a significant milestone in healthcare. It defines best practices for integrating lifestyle medicine into primary care settings, offering physicians a clear roadmap to improve patient outcomes and quality of life.

By embracing lifestyle medicine, physicians and all members of the primary care team can address the root causes of chronic diseases, reduce the burden of these conditions, and align their practice with national recommendations for high-quality primary care. This approach not only benefits patients but also enhances professional satisfaction and fulfillment for healthcare professionals.

Primary care practitioners have a unique opportunity to lead the way in implementing lifestyle medicine and reshaping the future of healthcare. By adopting the principles outlined in the consensus statement, they can play a pivotal role in improving the health and well-being of their patients while contributing to a healthcare system that prioritizes prevention and holistic care.

Read the full statement: American College of Lifestyle Medicine Expert Consensus Statement: Lifestyle Medicine for Optimal Outcomes in Primary Care

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